MICHAEL R JACOBY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046008

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

JACOBY

Suffix

Business Name

MICHAEL R JACOBY MD

Original Issue Date

08/17/1972

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

TARPON SPRINGS

State

Zip

34688

Ever Disciplined

LastModifiedDate

07/29/2023